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Mr. Beaufort Addison III
Mental Health Counselor in Lithonia, Georgia
NPI 1205413481

Beaufort Addison III is a Mental Health Counselor based in Lithonia, GA and is specialized in Mental Health. Beaufort Addison III practices in Lithonia, GA. The NPI Number for Beaufort Addison III is 1205413481 and holds a License No. (Georgia).

The current practice location address for Beaufort Addison III is 5576 Oak Bend Pl, Lithonia, GA and can be reached out via phone at 803-664-4007.

Location: 5576 Oak Bend Pl, Lithonia, GA, 30058-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205413481
Provider Name
Beaufort Addison III
Credential
Provider Entity Type
Individual
Gender
Male
Address
5576 Oak Bend Pl, Lithonia, GA, 30058-3302
Phone Number
803-664-4007
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5576 Oak Bend Pl
City
Lithonia
State
Georgia
Zip
30058-3302
Phone Number
803-664-4007
Fax Number
person
Provider Business Mailing Address Details
Address
5576 Oak Bend Pl
City
Lithonia
State
Georgia
Zip
30058-3302
Phone Number
803-664-4007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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